AMA CPT® Assistant - 2014 Issue 1 (January)

Surgery: Digestive System (Q&A) (January 2014)

January 2014 page 9a Surgery: Digestive System Question: A patient has a diagnosis of "sports hernia." Is the repair of this hernia reported with one of the hernia repair codes? Answer: No. A sports hernia or athletic pubalgia is a strain or tear of any soft tissue (eg, muscle, tendon, ligament) in the lower abdomen or groin area. Sports hernias are not true hernias. They differ from other hernias because they often occur where the abdominals and adductors attach at the pubic bone. There is no specific CPT code for sports hernia procedures. Therefore, unlisted code 49999, Unlisted...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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